Preventative Care

Preventative and proactive care is the cornerstone to SottoPelle. We are sharing important resources from the Centers for Disease Control and Prevention (CDC) to help take a more proactive approach to your health and well being as you age.
The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease. ~
Thomas A. Edison


For more help in preventative services you may need – try this app below.

Making the Most of Menopause?

You shudder in horror at the thought of menopause. The sweaty loveless nights, the jeans that don’t fit, you’re ready to pull out your hair!!

We are brought up to believe that after fifty it’s time to slow down and hunker in for old age- this is a myth!!

Fifty is not what it was years ago, and you don’t have to live with these symptoms at any age!!

It’s time to take the first step to change your life today! Find balance and show the world you are taking on Menopause and winning!!

What advice can we share with you about menopause?

Tips for Menopause:

  1. Find a good friend or support group
  2. Find a understanding and supportive doctor
  3. Find balance in your life – mentally, physically and spiritually

Beauty is ageless and going through menopause is uncomfortable and not fun but it does not change who you are as a person. You can age gracefully and be the best you can be at any age.

Need help or have more questions? Call us today!

Stress & Nuts 

We all know about stress. Everyday something happens in your life that seems stressful. You can find an entire day, week or year consumed by stress. Are you driven mad by NUTS?


Beyond being a huge glutton of our mental time, stress is really unhealthy.

Does stress impact how we age too?

Science and studies seem to indicate it does.
“Chronic stress accelerates premature aging by shortening DNA telomeres.
Telomere length is a marker of both biological and cellular aging. Stressful life experiences in childhood and adulthood have previously been linked to accelerated telomere shortening. Shortened telomeres have been associated with chronic diseases and premature death in previous studies by Dr. Owen Wolkowitz and colleagues at University of California, San Francisco (UCSF).(1)

Is All Stress Created Equal?

No, there are physical and emotional stressors and they impact you differently. Their are also instances were we self impose stress on ourself.

“Like most psychological theories, it’s gone through a few changes over the years. Experts had long believed that the Zeigarnik effect was the brain’s way of prompting its owner to finish a task, nagging the mind to wrap up what had been started. But recent research has found that the Zeigarnik effect is a little more specific than that.
“(The) unconscious is asking the conscious mind to make a plan,” write Roy Baumeister and John Tierney in Willpower: Rediscovering the Greatest Human Strength. “The unconscious mind apparently can’t do this on its own, so it nags the conscious mind to make a plan with specifics like time, place, and opportunity. Once the plan is formed, the unconscious can stop nagging the conscious mind with reminders.”
Sounds great, right? It’s like a built-in to-do-list, no iPhone note required. But here’s the thing: That constant mental nagging can seriously drain you after a while.”(2)

To Recap “stress comes in two basic flavors, physical and emotional — and both can be especially taxing for older people. The impacts of physical stress are clear. As people reach old age, wounds heal more slowly and colds become harder to shake. A 75-year-old heart can be slow to respond to the demands of exercise. And when an 80-year-old walks into a chilly room, it will take an extra-long time for her body temperature to adjust.

Emotional stress is more subtle, but if it’s chronic, the eventual consequences can be as harmful. At any age, stressed-out brains sound an alarm that releases potentially harmful hormones such as cortisol and adrenaline. Ideally, the brain turns down the alarm when stress hormones get too high.
Stress hormones provide energy and focus in the short term, but too much stress over too many years can throw a person’s system off-balance. Overloads of stress hormones have been linked to many health problems, including heart disease, high blood pressure, and weakened immune function. For older people already at heightened risk for these illnesses, managing stress is particularly important.

Over time, the brain can slowly lose its skills at regulating hormone levels. As a result, older people who feel worried or anxious tend to produce larger amounts of stress hormones, and the alarm doesn’t shut down as quickly. According to a study published in the journal Psychoneuroendocrinology, women are especially susceptible to an overload of stress hormones as they age. The study found that the impact of age on cortisol levels is nearly three times stronger for women than for men.

The flow of stress hormones can be especially hard on older brains in general. According to a report from the University of California at San Francisco, extra cortisol over the years can damage the hippocampus, a part of the brain that’s crucial for storing and retrieving memories. Several studies have found that high cortisol goes hand in hand with poor memory, so we might be able to chalk up certain “senior moments” to stress.”(3)

How Can We Combat Stress?

Some studies indicate that having multiple major life events in a year can create advanced aging. So in a case like mine where a parent passed, sick spouse and selling a home does that mean I will age faster?

I don’t think anyone can tell you for sure as aging is associated with many factors like genetics, environment and balanced lifestyle.

You can offset some of the detrimental effects of stress with the help of friends, family, strong support networks, and strategies for coping with stress.

Reduce your NUTS!!

Yes, humor is great for reducing stress so hopefully your smiling now. Nagging Unfinished Tasks (NUT) are all the unfinished things we perceive or think about that just rent space on our brain and have an impact on our stress level.

“Dr. Oz says they are “often very simple to fix but if you never get around to them, NUTs create a subtle underlying angst that can undermine your health.” Author Jack Canfield calls them “messes and incompletes” and says they “rob us of valuable attention units”.
This variety, these Nagging Unfinished Tasks, are most definitely NOT good for us. They cause not only mental stress, but eventual physical stress. Who needs ‘em?!

Well, unfortunately, I bet we all got ‘em. Those hanger-on projects, tasks, and to-do’s that just seem to never go away. They are those uninteresting, challenging, boring, tedious little things we simply don’t want to do.

So how to handle them and move on to and make room for the things we DO want to do?

Here are some ideas:
Use a simple time management principle: “Do it, Delegate it, Delay it, or Dump it”. The moment you’ve got a task in mind to add to your to-do’s, make a decision on what to do with it… right then and there. Maybe it doesn’t even need to go on the list.(4)

Have stress-reducing techniques on hand. Try meditation, humor or exercise. I love taking a drive and listening to music or going for a great foot massage. Find your comfort zone – a place, person or activity that brings you comfort.

Age well – stress less!!

For more guidance on fitness visit: Lifefit.life

For more information on healthy and balanced lifestyles visit: sottopellelifestyle.com

If you just want to have fun and learn about cool people and topics listen to us on Adventures in Aging on iTunes.

(1)https://www.psychologytoday.com/us/blog/the-athletes-way/201404/emotional-distress-can-speed-cellular-aging
(2) https://advice.shinetext.com/articles/the-zeigarnik-effect-is-your-best-new-motivation-hack/
(3)https://consumer.healthday.com/encyclopedia/aging-1/age-health-news-7/aging-and-stress-645997.html
(4)http://www.debbielousberg.com/soapbox-blog/nuts/

I just want you back

It’s 4am, I cant sleep.
I remember sleeping in late, but now I can’t even sleep more than a few hours. It’s funny how you take for granted people, things and even yourself.
I stumble to the bathroom and catch sight of myself in the mirror. At first, I’m startled in my sleep deprived state. I think there is someone else there – that’s not me. People once told me I was pretty now they just call me Mam.

I look in the mirror and wonder when I got old.

I have gained some weight in the last year. My mom just passed this fall after a 6 year battle with colon cancer. It’s unfortunate how old we suddenly feel when a parent passes or maybe it just brings our own mortality front and center. Either way, it’s a sad and scary time.  Then a series of life’s unfortunate events and post menopause and my former size 2 self is now 20 pounds heavier. My daughter scoffs when I complain as she is now struggling to lose 50 pounds herself.

It’s all about perspective, each person’s battle is difficult to them. The worst is not feeling healthy with this extra weight – I don’t feel like me. I have some really pretty clothes and I will  be damned if I have to buy more. Who wants to buy clothes because you can’t squeeze into your current ones ?

That’s not fun.

Midlife is filled with not fun moments for both men and women. Most people are suffering from the challenges of getting older and experiencing changes in body and mind. The key is not to change our spirit. I try to look at everything happening with a sense of humor and as a challenge. But, when you lose sight of yourself it becomes harder.

Starving yourself or crazy fad diets are not the answer. I know because I tried it – no luck.

I spent a lot of money to lose water weight and it’s just not a long term or healthy alternative.

Menopause and Andropause make it harder to do things exactly as we have always done them and reap the same results.  Change can be good if you look at as an opportunity to be a better healthier you. You have to start by getting help.  If your experiencing big changes in weight and health, check in with your doctor.

Gaining weight or feeling bad does not have to be the new you.  I found out that part of my menopause experience was suddenly out of whack hormones and thyroid.  A better diet, regular exercise and medication and I’m beginning to feel better. I’m still getting up earlier but I’m just using that time now for good and not evil. I’m not staring in the mirror at 4am examining wrinkles or grey hairs but taking the dog for a walk or writing.

By the way, taking power naps do work when needed. I’m learning that I’m still me – I’m just evolving.

Who knows, I may become a butterfly!!

What is your midlife experience and how are you dealing with it?

 

Hugging for your Health

Hugging for your Health

We all know that hugs make us happier, but can they really keep you healthy?

As little kids we were told about an apple a day, but can a hug a day really keep the doctor away too?  Recent studies have shown that “hugging protects people who are under stress from the increased risk for colds [that’s] usually associated with stress,” notes study lead author Sheldon Cohen, a professor of psychology at Carnegie Mellon University in Pennsylvania. Hugging “is a marker of intimacy and helps generate the feeling that others are there to help in the face of adversity.”

 

Some experts attribute the stress-reducing, health-related benefits of hugging to the release of oxytocin, often called “the bonding hormone” because it promotes attachment in relationships, including between mothers and their newborn babies. Oxytocin is made primarily in the hypothalamus in the brain, and some of it is released into the bloodstream through the pituitary gland. But some of it remains in the brain, where it influences mood, behavior and physiology. How hugging fits in: “When you’re hugging or cuddling with someone, [he or she is] stimulating pressure receptors under your skin in a way that leads to a cascade of events including an increase in vagal activity, which puts you in a relaxed state,” explains psychologist Tiffany Field, director of the Touch Research Institute at the University of Miami School of Medicine. One theory is that stimulation of the vagus nerve triggers an increase in oxytocin levels.”(1)

Science is proving what our mom’s and even common sense has proven throughout our lives, kindness and love has amazing healing properties. When we feel stressed our bodies suffer, but when we feel that reassurance, support and a simply put gesture of love – it thrives.

I have started an experiment where I am hugging people I love at least 30 seconds a day.  It seems silly, but so far, the results are amazing.  I feel very happy doing it and the person I am hugging seems happier. It’s not a scientific study but does it have to be? Just go ahead and hug someone.

Source:

(1) https://health.usnews.com/health-news/health-wellness/articles/2016-02-03/the-health-benefits-of-hugging

 Get A Bang Out of Aging this New Year

Get A Bang Out of Aging this New Year

he end of summer is drawing near.  Did you take time to regain your vigor and excitement? You see all the ads about getting your beach body ready and almost everyone shudders. Our obsession with body image should be refocused on body health. For people over 40, the feelings of body inadequacies are only worsened by the changes that aging has on our sense of sexuality. It is a catch 22 as improving our vitality is heavily integrated in staying “ sexy.”

Attitudes about sexuality and aging – we can change the perceptions about sexuality via education and therapeutic approaches.

“The myth: Only the young are sexually attractive.

The culture we live in exalts youth. Turn on the TV or open a magazine and you’ll be barraged with images of supple skin, firm flesh, long eye leashes, full lips and lustrous locks. If your mirror is reflecting a different picture these days, you may feel like the party is going on without you.

The reality: Older can be quite sexy.
Sure, thinning hair, laugh lines, and a paunchy midriff are no picnic. But think back on what it was that made you attractive in your younger years. Was it your soulful brown eyes, your crooked smile, or maybe your infectious laugh? Chances are, those attributes are still as appealing as ever. In fact, a 1999 survey conducted by the AARP and Modern Maturity magazine revealed that the percentage of people age 45 and older who consider their partners physically attractive increases with age.”

Read More: https://www.health.harvard.edu/staying-healthy/attitudes-about-sexuality-and-aging

Somethings often seem easier in theory than in application. In the throes of Menopause and/or Andropause or just busy adult lives, how do we keep passion alive?

Sexual health and aging: Keep the passion alive

“Sexual feelings don’t disappear as you age. Here’s how to keep the flame burning.

Sexual health is important at any age. And the desire for intimacy is timeless. As you age, sex may not be the same as it was in your 20s, but it can still be very fulfilling. Discover which aspects of sexual health are likely to change as you age — and how you and your partner can adapt.”

Read More: https://www.mayoclinic.org/healthy-lifestyle/sexual-health/in-depth/sexual-health/art-20046698

Keeping LifeFit® will keep you healthier and sexier. Biomechanics and physics teach us that things in Motion stay in Motion.

“You’ve likely heard that regular exercise can reduce the risk of chronic conditions such as heart disease, diabetes, or osteoporosis. But a growing body of research shows it may have another, more surprising effect: improving your sex life.

In men, regular exercise appears to be a natural Viagra. It’s associated with a lower risk of erectile problems. In one study, sedentary middle-aged men assigned to participate in a vigorous exercise program for nine months reported more frequent sexual activity, improved sexual function, and greater satisfaction. Those whose fitness levels increased most saw the biggest improvements in their sex lives.”

Read More: http://www.health.com/sex/exercise-and-sex

 

Featured Doc: Heather Chauhan, MD, FACOG

SottoPelle is proud to showcase one of our providers in our “Featured Doc Series.”  Heather Chauhan, MD, FACOG practices in Germantown, Tennessee and has been a SottoPelle Trained Provider since January 2014.

Practice Name:
Exceed Hormone Specialists

 

 

Heather Chauhan, M.D. has the following qualifications:

  • Fellow of the American Congress of Obstetricians & Gynecologists
  • Diplomate of the American Board of Obstetrics & Gynecology
  • Active Member of:
    • North American Menopause Society
    • Sexual Medicine Society of North America
    • International Society for the Study of Women’s Sexual Health

Please see Heather Chauhan, MD, FACOG’s profile on our directory at: https://www.sottopelletherapy.com/doctors/heather-chauhan-md-facog/ 

Follow her on Facebook: https://www.facebook.com/exceedhs

Visit her website: https://exceedhs.com/

 

Do you know an amazing SottoPelle doctor? Nominate them here to be a Doctor of the Day!
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Menopause Midwifery or Doulas

I read and research constantly for my blogs on areas of interest.  Occasionally, I come across novel and innovative concepts that inspire me.

Menopause Midwife

When we are going through childbirth we often will choose to have a midwife or Doula.

“Midwives and doulas seem similar, since they’re both people (who aren’t OBs) who help women through labor.  And they are both most commonly chosen by moms-to-be who go drug-free during their delivery. But their roles in the childbirth process are actually quite different.

A midwife is a health care provider, while a doula is more of a childbirth coach. You might choose to have a midwife instead of an OB for prenatal care and to deliver your baby—midwives can deliver babies in hospitals, birthing centers or even in your home. A doula, on the other hand, doesn’t replace your healthcare practitioner but rather can add extra services, such as helping you with techniques to manage pain during labor and even providing support and help during baby’s early days. Isn’t it great there are so many people who can help you though?”(1)

I started thinking why don’t we have these people to support women through the physical, psychological and emotional aspects of menopause?

Imagine, if we had someone who could provide medical informative support combined with personal supportive services as you go through one of the most demanding changes as a woman in your life? There are a many and very good support groups online to help with peer support for menopausal women. But, sometimes you need more. You need that personal attention and support to address your unique concerns and needs during menopause.

Would it help to have someone give you techniques or services to alleviate the symptoms, pain or issues your experiencing  emotionally, mentally and physically?

(1)https://www.thebump.com/a/difference-between-midwife-and-doula

Featured Doc – John Molland, MD

SottoPelle® is proud to showcase one of our providers in our “Featured Doc Series.”  John Molland, MD practices in Odessa, Texas and has been a SottoPelle® Trained Provider since October 2018.

Practice Name:
The Women’s Center of the Permian Basin, PA

 

 

“SottoPelle® is a unique method which offers my patients an individualized approach to hormone imbalance and well-being.,” states John Molland, MD, SottoPelle® Trained Physician.

John R. Molland, MD is now offering expanded treatments for:

  • Anti-aging
  • Aesthetics
  • Wellness

Please see Dr. Molland’s profile on our directory at: https://www.sottopelletherapy.com/doctors/john-r-molland-md-facog/ 

Follow him on Facebook: https://www.facebook.com/DrMolland/

Visit his website: https://www.drmolland.com/

 

Do you know an amazing SottoPelle doctor? Nominate them here to be a Doctor of the Day!
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SottoPelle® Dedication to the Ethical Treatment of Patients

SottoPelle® is committed to the ethical treatment of our patients and to supporting the dedicated SottoPelle physicians that maintain the highest quality of patient care. Physicians are governed by core principles of medical ethics as defined by the American Medical Association (AMA). These top five mandates are the foundational requirements for all physicians when treating patients.

  1. A physician shall be dedicated to providing competent medical care, with compassion and respect for human dignity and rights.
  2. A physician shall uphold the standards of professionalism, be honest in all professional interactions, and strive to report physicians deficient in character or competence, or engaging in fraud or deception, to appropriate entities.
  3. A physician shall respect the law and also recognize a responsibility to seek changes in those requirements which are contrary to the best interests of the patien
  4. A physician shall respect the rights of patients, colleagues, and other health professionals, and shall safeguard patient confidences and privacy within the constraints of the law.
  5. A physician shall continue to study, apply, and advance scientific knowledge, maintain a commitment to medical education, make relevant information available to patients, colleagues, and the public, obtain consultation, and use the talents of other health professionals when indicated.

All physicians take The Hippocratic Oath, which originated in ancient Greek medical texts, and it requires all physicians to uphold very specific ethical standards. The integrity of a physician is pivotal in his/her role as a medical practioner. Integrity is based on serving the patient’s best interests and gaining the experience, training, and continuing qualifications to accomplish that task.

There are doctors who don’t care about the qualifications or certifications. There are those who even cross the line and prescribe drugs yet they have no qualification to treat. This is lack of honesty and integrity.[1]

Why is the topic of ethics and BHRT so important?  Many people hear Bio Identical Hormone Therapy (BHRT) and they don’t understand that although it’s a natural solution to hormonal imbalance, it must be prescribed, dosed, and maintained by a qualified medical professional.  BHRT is not a therapy that should be obtained at the local beauty spa or administered by an unqualified medical professional. To engage is such activity is blatantly unethical as it endangers the health and well-being of the patient. Determining who is qualified to provide BHRT can be a source of confusion among patients and physicians alike.  As the pioneer in BHRT, SottoPelle has developed the baselines and methodology that can only be acquired after decades of successful patient treatment. SottoPelle innovation has created BHRT specific and proprietary technology and dosing algorithms that have become the qualitative standard among most experienced BHRT physicians.

SottoPelle® is an organization steadfast to upholding and maintaining the highest standards for quality and ethical care for our patients.  Before a physician can become a licensed SottoPelle physician he must be thoroughly vetted and trained by our staff. This means that SottoPelle checks that the medical professional is in good standing with his local medical board and that he has the perquisite medical training and background to be considered for SottoPelle methodology training. Once approved for the training and to become licensed, the physician has to successfully complete a clinical training with our medical trainers. After training, continuing education follows to assure that SottoPelle certified physicians are up to date with all aspects of HRT and related patient care. Our methodology was created by physicians who have a specific background in this area of medicine and practice.  The evolution of the therapy is based in science, so every physician must have the required relevant medical background to understand all aspects of the method, and all the medical implications to the patient.  This is the ethical application of our medical approach and therapy.  Adhering to high standards and qualifications is why SottoPelle has consistently been trusted by patients and physicians as the providers of choice for Hormonal Imbalance concerns.

There is an overabundance of information on the internet, but googling information does not provide a medical degree. Physician marketing and advertising has become aggressive but being on the first page of Google is not an indicator for finding an ethical or qualified health care provider. Patients want medical care they can trust and count on for solutions for their health and lifestyle concerns.  Different physicians and/or medical professionals have varied medical experience and knowledge.  You would not go to a dentist for a cardiac issue, and you should not go to just any type of physician for Bio Identical Hormone Therapy (BHRT).

The physician should be licensed and trained on this specific type of therapeutic treatment. A generalized understanding of BHRT is not enough.   As previously noted, the SottoPelle methodology requires a comprehensive understanding of hormonal balance, familiarity of various medical conditions that can cause imbalance, and also the ability to medically and legally be allowed to implant the BHRT pellets under the skin.

Many of us have heard stories about “Botox” parties performed by unqualified people with substandard products, that have led to disastrous results. The same type of worst case scenarios can occur with BHRT practioners, if they do not have the experience, training, and knowledge of the therapy and appropriate dosing.  BHRT requires a physician to medically evaluate the patient, perform lab work, and then understand the results to determine if patients are candidates for BHRT. Once the patient is medically cleared to get BHRT, then the practioner has to have the prerequisite and underlying training to successfully dose, implant the pellets and maintain the therapy. Without these baseline competencies, the likelihood for unsuccessful treatment and medical complications arise.  Unfortunately, there are medical providers not following protocol or without the training required to successfully administer this therapy.  This unethical behavior can lead to unexpected patient results, health concerns, and overall negative impact or perception of BHRT.

SottoPelle® supports the ethical physician and patient imperative:  treating hormonal imbalance must only be performed by those medical providers with the essential requisite skills and qualifications.

Why would some practioners treat patients without these core training and experience?  Just like every other profession, there are many ethical and responsible practioners with integrity, but then there are a bad few – that are putting the needs of their practice over that of the best interests of the patients. Others are established doctors who just think they can “figure it” out on their own, but your patient care should not be the learning experience nor should it be a “one size fits all approach.”

If you are considering BHRT, do your homework first. There is a lot of data and information out there, and it can be overwhelming.  Don’t pick the best price or the number one on Google, this is your health, look at the experience, results, and reputation of the BHRT provider.  Make sure your doctor is licensed, ethical (in good standing with local medical governing agencies), and is specifically trained to administer BHRT therapy to you.  If you are not sure about your choices, or the doctor’s qualifications, call us and we can help you.

[1] http://advancingebp.org/hello-world/